Inability or absence of successful peno-vaginal intercourse in a couple.
According to survey 10-15% couples have this problem. In my experience i got a unconsummated couple with married life 3 yrs.
The most common cause is ignorance about sexual act, along with Rigid Hymen,Sexual aversion, trauma,etc
Diagnosis
– Sexual History is very important (Foreplay,Play & Afterplay in detail)
– Physical examination (Genital examination)
– Post-coital test
– Impotence/infertility cases we should rule out any non consummation.
Management
-Sex education
-Sex counseling
-Sex therapy (mainly about coital positions)
Both partners should attending regular sessions & their commitment is very important for success.